The changing practice of anesthesia has included an increased use of anesthesia services outside the traditional operating room environment. In order to provide quality service and patient care in these settings, anesthesiologists must understand the unique problems of providing anesthetic services in new settings. This involves inspecting and preparing the area, as well as establishing protocols for such diverse subjects as patient selection, pre-anesthetic recovery, and patient follow-up. This is an exciting opportunity for anesthesiologists to expand the scope of their practice.